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HomeMy WebLinkAbout018-1055-90-000 y c ~Y o I 0 ti c I o N C N ~ I N I Cl) y I d in co 3 ~ I a~ I C N ~ C ~ U. is c v C N N O U aci E Q ao m m CL I ~ N I F-- w r o y m a m i N H fn c O Z U C1 ~ ~ N O fn FZ- r N Z E 'o I ~ ch I •~i v r o c O z z i N d C N v L o c co io E ~o o~ m N a c to co co p W d N O O O O O Lo Cl) .N~-. O O G G a 0 N N N N 75 E ; N w 7 y N N N FL 2 o v v v O O O ZOO o •N cIL CL IL y CL v (V N M M y 1~ 7 o N v1 -j V! co rn rn (D N N co CX) 0 CD N I 2 p m o m CD m Q cn ~m to {ten O N N N O O c C 2 C r.:+ E co co 't O LL O p O C C rncNo~ as caCDo°ol C -1 O LO n c o o o 'o m c) 0 0 C CD E m tL 1=- m co 0, c-4 E • O N 2 > O Z N=5 '9 rd fn R € IL a ` a eg CL 4) r`Iri o R 3 o r A c~a2 ',Otn0 ; Parcel 018-1055-90-000 07/26/2006 10:49 AM PAGE 1 OF 1 I Alt. Parcel 24.29.17.382F 018 - TOWN OF HAMMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - HUOT, ROBERT K & BRENDA J ROBERT K & BRENDA J HUOT 2086 HWY 12 BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " 2086 HWY 12 SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 4.230 Plat: N/A-NOT AVAILABLE SEC 24 T29N R17W PT SE SE COM POINT Block/Condo Bldg: 633FT W OF SE COR TH W 375.92FT; TH N 490FT;TH E 375.92FT;TH S 490FT TO POB Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) PARC INC CSM 3/842(3.92AC) 24-29N-17W SE SE Notes: Parcel History: Date Doc # Vol/Page Type 05/21/1998 579544 1325/238 WD 05/21/1998 579543 1325/237 WD 04/21/1998 577692 1317/038 TI 11/19/1985 407154 726/457 LC 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/22/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.230 32,700 56,600 89,300 NO Totals for 2006: General Property 4.230 32,700 56,600 89,300 Woodland 0.000 0 0 Totals for 2005: General Property 4.230 32,700 56,600 89,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 222 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER "A ADDRESS 0~?(,tj A'/ I D I SUBDIVISION / CSM#_ LOT y!SECTIION T N-R_ZW, Town of ~n14- ~/TT5 CROIX ACOUNTTYI r WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 ET OF SYSTEM ex- a7 (00.00 i t o~(ti ~r 1~v8 K1W ro L t--'< INDICATE NORTH ARROW. Provide setback and elevation information on reverse of this -form. Provide 2 dimensions to center of septic tank manhole cover. i y BENCHMARK : I 00.6)C3 awe. S a , C.C, p l~vl 1~-- ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING.TANK INFORMATION 600 I Manufacturer: Liquid Capacity: Cc Cep Setback from: Well House rl Other Pump: Manufacturer Model#-730 ( Size /o Float separation Gallons/cycle: / 3 S-. 9-3 _L_L? t Alarm Location n~~,y$ ..SOIL ABSORPTION SYSTEM Width: -45- Length 7 *z.;.'TM. be of tre..ch Distance & Direction to nearest prop. line: 5~7~ Setback from: well House .27 ( Other cl ELEVATIONS Building Sewer T ST Inlet. _ ST outlet 09 PC inlet ?0. O PC bottom g,S , Pump Off Header/Manifold 7 Bottom of system ~ Existing Grade vZ, Final grade DATE OF INSTALLATION: - . PLUMBER ON JOB: ..e r^ _e 5 a LICENSE NUMBER: INSPECTOR: U, I 3/93:jt 1 LQ ' ` ;PNpar4&fgW1Rtr?4.29.17.3MDAH SHVA 'SY?TEM County: Labor and Human Relations INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Perm itNo.: GENERAL INFORMATION 1 C)'1470 Permit Holder's Name: ❑ City ❑ Village R Town of: State Plan ID No.: M lev.: Insp. BM Elev.: BM Description: Parcel Tax No.: ~1-1 01A 1 0 5 &S - cg~)n (n) 0 n TANK INFORMATION ELEVATION DATA A9300131 3,% TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ! / dt1) ~G~ ti Benchmark Dosi ng Aeration Bldg. Sewer -r- Holding St/FI;,,,Inlet t ' TANK SETBACK INFORMATION St/ kY Outlet 011 TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic 56 1) 11,4 NA Dt Bottom Dosing NA Uea&r/Man. Aerati NA Dist. Pipe Holding Bot. System PUMP /SIR"" INFORMATION Final Grade Manufacturer Demand 06 yCS~ Model Number GPM TDH LiftFriction S stem TDH ~Ft Loss itiead Forcemain Length C1 S Dia. Dist. To wel SOIL ABSORPTION SYSTEM BED/TRENCH Width _ Length / No. Of Tr nches PIT No. Inside Dia. Liquid Depth DIMENSIONS 5 S DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING anufacturer: SETBACK CHAMBER INFORMATION Type 0 I- r Mode ber. System: rvi cx~ lC!~ OR UNIT DISTRIBUTION SYSTEM uo.,Jart-ManifoId Distribution Pipe(s) , v x Hole Size , x Hole Spac ng Vent To Air Intake Length Dia. Length Dia. Spacing j SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over , " xx Depth Of xx Seeded rated xx Mulched Bed /Trench Center Bed /Trench Edges C- Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: HAMMOND 24.29.17.382F,SE,SE,,_ HWY 12 - Plan revision required? ❑ Yes 0-16 Use other side for additional information. l~ SBD-6710 (R 05/91) i Date Inspector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: DLI-~!R SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY -.~-..~...~........~..a. ST CROIX NIT PER T# STATE 11A3<170 -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. Check if revision to -previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. S93-20275 PROPERTY OWNER PROPERTY LOCATIOk36 JOHN WOODCOCK SE Y4 SE t/4, T 29, N, R 17 E (or )s PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 2086 HWY 12 N/A N/A CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER BALDWIN WI 54002 715 684-4775 842 1-1 VILLLLAGE NEAREST ROAD II. TYPE OF BUILDING: (Check one) ❑ State Owned 0 . HAMMOND HWY 12 1721 4)%N RE. A NUM ❑ Public ❑ 1 or 2 Fam. Dwelling-## of bedrooms 3 P 111. BUILDING USE: (If building type is public, check all that apply) 018-105590 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 El Campground 7 El Merchandise: Sales/Repairs 11 El Restaurant/Bar/Dinin 9 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ❑ New 2. [XI Replacement 3. ❑ Replacement of 4.0 Reconnection of 5.0 Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 a Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 450 375 375 1.2 N/A 93.80 Feet 95.5 Feet VII. TANK CAPACITY Site in as Ions Total #of Prefab. Fiber- Exper. INFORMATION New lExisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank 1000 1000 1 WIESER CONCRETE LA F1 Lift Pump Tank/Si hon Chamber 600 6 Vlll. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plum 's Signature: (No S ps MP/MPRSW No.: Business Phone Number: BENNIE HELGESON MPS 3215 715 772-3278 Plumber's Address (Street, City, State, Zip Code): W1229 770TH AVENUE, SPRING VALLEY, WI 5476 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing e a Sig r101 ps) [;Approved F-1 Owner Given Initial Surcharge Fee) +cP Q Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: aooool SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS a 1 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administra.ive Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber require: a Sanitary Permi~ ? i <n4rr<-'Renewa rc r=, (SBO 6399) to be submitted to the :ounty prior to installation. 5. Unsite sY~ ' µ syysiems must be prcp€;r'i~,• maintained. The . 'u tank(s) mu :t be Fur , ~ ^ ?rcensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your !oval code; administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax niumber(s) of where the ystem is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorpts or system information. Provide al` information requested to `?-7. VII. TanK Fill in the capacity of e-v'r ' ".'w and/or exi& ` ';st tl'!e tcit ! ;6r3°3t r of tanks an'? anufacturer's name. Indic ale piiJfat) or site construe. 11 Cr' ank ma(;y ial. e c for all sept;(,, pump/siphon ante ho,!ding tanks fo> lkis system. Check approval of r.t: received experir,):-~r'tal product approval from DILWi " Vill R"spopsiibility statement. Installing plumber is to fill in name Nr v.e ri!.nr.ber with app opoir,,o e'- fix (e.g. MIP, etc.;, :address and phone number Plumber must sign appl t;;7"'.icin fG'm. IX. County/Department Use Only X. County/Der:artment Use Only. Complete glans and specifications not err 1!er than 81/2 incf!F~S mu..t be subs itt,r : t;. the ;ourtty,4The plans rn ,,s' i;101LAP, ".he following: A) plot drawn to :it.h cmiiple`e .-,a icin' of holding tanker:) or other trea.ta,; ; ` tanks, r:_, t r uel! r .w~ ,,q!ter service; Streams Zy'oirip of siphon tanks. distribution boom-s SyStem areas, a,,(+ roc ltiof of the building ser~ ed; B) horizont;-_ t;ica. ~levati-^ ; +.e•~ ,~~;r ; r:!m~,; C) complei spnc;fications for pumps and controis; close vo!urna; °levati;a, ea:fferi ,ce_: tt tli -11 ;oss; pump performance curve; pump model and pump manufacturer; D) cross section )f the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. - - - - - - - - - - GROUNDWATEIR SURCHARGE 1983 Wisconsin Act 410 included the creation of "se re haze ,cs (f-es) for a ntj r of regulated pr pcli<. tes \31hi& Can effect groundwa'er The wort;es co"`-cled lhtoo.;rtl these S!:fGhar r. o_., ~s .'r =1 1, :C';r >t `.r !0 water co:s°amir-Dion it y,•r+!.tari!)riS ano esta. !i I}rs r',''r> SBD-6398 (R.11/88) i i 1 DEPARTMENT OF A REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND' PERCOLATION TESTS (115) MADISOP 0. BOX 769 N WI 3707 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LOCATION: SECTION: OWNSHIP/l1AJdau6FR4L- LOT NO.: BLK. NO.: SUBDIVISION NAME: S,e 36 /T;:? N/RirE (or ,y e - COUNTY: OWNER'S MAILING ADDRESS: _.~v c ( 1-2 USE DA ES OBSERVATIONS MA ()E I NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: IFERCOLATION TESTS: Vesidence ❑ New Replace S G 7 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ❑ S ED1 CC'S ❑U ❑ S CZ411 ❑ S C CS ❑U If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b), indicate: ep . d Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE BBRV.ON BACK.) S N %H~ Cv !Y q A ~S 9 B- ( 11 rS CS ' , GI B- 2- g~aklp,~ f",74f ?~~,W, V B- 3 G 2f. E C1 z2 9' 9 k 67V p7 wa .6-f 4 • 9 'fir r L , /Cleo ;Le 5- 6!g" B13- 42-1 42 tea' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERI002 PERT PER INCH P- I3 e S S ;Zt ./A P- P- 2- P__ FPP---" _ PLOT PLAN: Show locations of percol i tests, soil bogs and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference poi s and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. — W - I SYSTEM ELEVATION'5 Ce ~t ( i f ' t/ T ALA- i C7 - 6crlf+y r_.._ D irk F I t t t t r -i 77 1 I E : t ~r E ~ , ~ ~J_ I, the undersigned, hereby certify that the soil tests reported on this orm were made y me in actor with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): WE FOGMM P1_ UMBING TESTS WERE COMPLETED ON: UCensed Perk Tester & Plumber #3233 #3289 7 6 rty e CERTI ICA ION NUMBER: PHONE NUMBER (optional): ADDRESS: We ROBERTS. WISCONSIN 54023 no 749.3656 CST SI NATURE: r- c C DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - 1 INSTRUCTIONS FOR. COMPLETING FORM 115 - SPO - 6395 To be accurate soil tv , r report must include: 1. CO IT st r'ption; 2. The w early indicat_ Ter this is a residence or commercial project; 3. MAXI A of ydrooms or imercial use planned; 4. Is this a n I lent system; 5= Comple_ rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER S (STEP RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the C~ eviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram acc. : tely locating your test locations. Drawing to scale is preferred. A --te sheet may be used if df-^ - 8. su; e your benchmark and elevation reference point are ~ i ; shown, and are permanent; 9. Cc. 'all appropriate boxes ; t=i, dates, names, addresses, flood plain data, percolation test exemp- 10. --'1 as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11, ie form _ -e your c€ Trent address and your certification number; 12, iv'fr.. , legible ~ and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DRYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Sail Separates arw' Other Symbols St - Slone. (,I ) BR - Bedrock cold - Cobble {3 - SS - Sandstone qr Gravel I"} LS - Limestone ~s - Sand HGW Nish Gromidwater is - Coa-- Pa~Ic P -lation Rate med s - lirlediur W tt,, : is Fine Sa <i B!dc - L3r Is Loamy Sand > - G,, i s Than °sl - Sandy Loam < - Lr : Loam Bn E3rc,V, sil - Silt Loani BI - Black si - Sift Gy - G ray - y Loam Y Yellotni fy Clay L...,„ - Red r Clay L m - Mottles F dy Clay sic - c / Clay - fevv, fine, fai c y C,C c,, Imo pi rnm Many, nm, ,i, i -,ck d - distinct p prominent H'AlL - Nigh wat vel, Si~ soil tex, Sur' fr a~.:. d BM - Bench N, VRP Vertical R E OWNER: Tq a sanitary i COL r l t it}r,tb.?§te rti. ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 May 10, 1993 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of the John Woodcock property, located in the SE;SE;, S.36, T.29N., R.17W., Town of Hammohnd, St. Croix County, WI., has been conducted with the assistance of Dave Fogerty, CST# 3233. This onsite revealed suitable soil for onsite sewage disposal to a depth of 15" while meeting the requirements of the A + 4" rule. This site should be suitable for a replacement mound septic system having 12" of sand fill. Should you have any questions, please feel free to contact me at this office. Since ly, mK. Thompson Assistant Zoning Administrator cc: file DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND P.O. BOX 76 HUMAN RELATIONS 'PERCOLATION TESTS (115) MADISON WI 53707 (H63.090) & Chapter 145.045) LOCATION: SECTION: OWNSHIP/MWNIGIPA,6IT- LOT NO.:BLK. NO.: SUBDIVISION NAME: s~ '/s'a 36 /T N/Ri7E (or COUNTY: OWNER'S MAILING ADDRESS: -51', 6e.,' o c ^ Z USE DA ES OBSERVATIONS MA E NO. BEDRMS.: 1COMMERCIAL DESCRIPTION: PROFI D EFESCRIPTIONS: PERCOLATION ESTS: 021~esidence 1:1 New ERAeplace 7 0 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GR)UND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) OS EA 2S DU OSC~]U DSCVU 10-S ❑U If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b), indicate: © - Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE BBRV. ON BACK.) S N i~ w lv q~ y'S 9 B- -"3 ~s rs ' 57akvo% j w 411.1-: W. o d , y may, C . B- L 1 Ile 3 s 44 9' / :p j? w ,c B- 3 G a zz '9, D G e- 5 A?PWI'~9 [da a o` J~'Ii 9 •9 'Gr L . B- 3~ vd~B ~S 6 1 r.~ cv 'y '91t BR,92-1 42 moo' PERCOLATION TESTS TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERT D2 PERIOD-3 PERINCH P- / j S s S' P- P- 2- J ~2 P__ P- s 30 ~ ~ ~ .t P- _ PLOT PLAN: Show locations of percol tests, soil bogs and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference poi s and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION O WI 97 i ; , ! _ i ~T Q LI r I iu!`}i A I N I ! ! r, i k-75Z, I, the -undersigned, hereby certify that the soil tests reported on this form were ma e y rn in actor with the procedures an methods specified in t Re Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print : TESTS WERE COMPLETED ON: Licensed Perk Tester & Plumber .#3233 #3289 7 6 p ADDRESS: age y e $ CERTI ICA ION 7!7HONE NUMBER(optionall: ROBERTS, WISCONSIN 54023 Phe; CST SI NATURE: C DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) -OVER - d P04 t &1m In. onA ccgl T TWA e- r sy~~~►~~, 6- a . w.al Atl ® - 1 - ' I IOLc~ Gk( SeWF G,oo GJ -N, Clnu» bcr F-'P is ,L +c, ba, h~uw~tsQ CA,~bo, ~ lot (der lam, ,Ill ~cQ (m- Flour. e, Ma"~ 1 Gi 1 13-M a U.R.P I~ I R E'k, 13.1 1 (.(n d-i,5r4~ b 1 ATG k- 51,1,~ ' Elegy ~ 4o•ss~ i i, q.2,oS lie. 11oeu,~~~~1. • Qorl~ S 1 ~er~. 6,4 ~~RJ S 'KISS GNC` ~ev~7 ~M q~iss TT b cAC PRIVATE SEWAGE SYSTEM Conditionally] sl,al~y u APPROVED r; I r 10 5aU Q DE . OF STRY, LABOR & HUMAN RELATIONS _ I N F SA BUILDIN~ I SEE RRESPONDENCE fJ 9 0 j.J 6 5 vw CL V, y ~ Oc.Jbitr, .~r~~v. W~11C nc. Page Of Cross Section Of A Mound Using A'Trench For The Absorption Area Medium Sand Fill .JI F 6 o soil C/tom ~3. £5~ 3 E D Tre.h" ctl' A negate, Plowed Layer ~C Bel w , C With D I . S Ft. Stra,(Illrs the Fabric -0 ~pArt E Ft. G / Ft. F> T7 Ft. H , S Ft. sw an View Of Mound Using A Trench For The Absorption Area 3 Force Main J Distribution Pipe PermanentAarkers Observation Pipe W o----------------- - A r- B K `Trench Of h" - 2h" Aggregate I C' L r A _ "t. I Ft. K Ft. W c1~. Ft. B 7 S Ft. J g,~Sr Ft. L Ft. License Signed: - Number: Date:' I '~t3 IIJ ~ 2 y~ 1>k G= Op _ II f P=Rrol2F,"►"~'b PlPi= GETRic. PEfZFORJ,T Eta . f- ?V C P ~ P.E ' nam CAP ! s.<F`? o--C{JS'TALL Pte''-.~LHAIJE7JT NJA~.'.Y.-~'-Ft .^T EUD Or En CH LhTL~tAI. . T:UD GYP. Q DES Loc-,iilrJ wa mol"TDN O° + z .s,--FpRCE H f1 lf.l 1 PRAM Tau tf'1 P ~'CVC''LXTERALS PC.hCE (JtS`t lTO~.~ ' 1JExT Zo t'L~D C!<P' "17\S~RI$~1701J: PIPE .:L7~}rD'u3'~ ~E sy$TEM P 3 6 ; s FT r-. rW p, g ~ a'a l qry* it 10, tic(. V uA~ N ` }lot_E ~tAnE-rt✓fZ_._.... tN LAB & IN ,c RY, tj., n 9r t OF SAFES A ' _kzlAr 'h~, i PONpENCE o~ tJci%-ES/t?j Pe i3 FtRES . 11:1V. El£V. OF .lhT~~S ~ ~T: PC=ACI. 1 lfU 7 F .JWI TEE w17N Sc) Gc-~ZSD1A1 G HOLES : 13~ NEX' -THE SU L-N%-r c3~''1 x.11 U7t-: _ 'HOLE TO To ;J-T= D c 15 I SEPTIC TANK 8 PUMP CHA bE~ CROSS SECTION AND SPECIFICATIONS 4" CI VENT PIPE 12" MIN. ABOVE GRADE 8 WEATHER PROOF 2:251 FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVET FINISHED GRADE 4" CI RISER W/ PADLOCK 6" MIN. WARNING LABS: . ABOVE GRADE - - 4" MIN. 1811 IN. 611 INLET Op,G A~S GAS- ~ - TIGHT 0 411 A SEAL 1 OvF LE ~ I APPROVED CI PIPE ®~Rb ev • , ALM JOINTS W/ CI 3' ONTO B .i f , PIPE 3' ONTO ID 0~ s QF~P~ N~~~G~ i Wi1 i;) SfSOLID SOIL SOIL p d ELEV. &..'=S FT. Opp RISER EXI' t=77 i PERMITTED ON1 D IF TANK _j J1. MANUFACTURER - HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE TANK MANUFACTURER: AZ's NUMBER DOSES PER DAY: y TANK SIZES: SEPTIC ,ooy GAL. DOSE VOLUME INCLUDIt,C, DOSE ~C7G GAL. FLOWBAC!'.: GAL. ALARM MANUFACTURER: S,~ C~c rO pslc,,,,;,CAPACITIES: A = INCHES = -3fL.y -AL. MODEL NUMBER: SWITCH TYPE: MErtVti ~I~«f- B = 2 INCHES = :23 GAL. PUMP MANUFACTURER: C = I I . I NCHES = ~ 5 .tt (=,A L . MODEL NUMBER: -~.SWITCH TYPE: z t D = I INCHES = j, YyGA . ky" REQUIRED DISCHARGE RATE -30 GPM PUMP 6 ALARM WIRING /'S PER ILHR 16.23 WAc VERTICAL DIFFERENCE BETWEEN PUMP OFF' AND DISTRIBUTION PIPE I$' FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . . . 2.5 FEET + _1..22 FEET FORCEMAIN X j,5 FT/100 FT. FRICTION FACTOR g~ FEET TOTAL DYNAMIC HE." FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH WIDTH ; DIAMETER -j- A~ r _OCT- o LIQUID DEPTH SIGNED: LICENSE NUMBER: '/S~ :,ATE: -0 1/88 s 93 2-4 f~ 5 ~`z< N( F N r 46 I ~j s I ~-Im Vt i i7U .nom ~ ~„I-(j►, fn - I 04 \ 7T i 1-4 _ •v :,t n td Ir. w d Cto fir,.. c~ M H r d r-o d x o... z 0 0 _ ev% ~ O 30 ~xyto~, 0 OO N y r-,o 1~1 M 9 C7 H Q b ip c' • O 'co td r • y ~ ' H Ny d tTs ~o r C z r n t:7 z Low v o ` tri z -4 w 4~ d D D o p fVb t'r9 4'-a - L: 3871 ti bmeisible SIZE: 3/4 SOLIDS RPM: 1550 Iu' e"n'tPum 4 p HP. 0. L METERS FEET . ~W A 25 o' LU 6 20 U N t~ r 5 pf E spF ~Z 15 .,w' ENGE 0 4 N J -'SE 3 10 - OR 2 5 1 0 00 10 20 3 40 50 GPM p 2 4 6 8 10 12 M3 /h CAPACITY 9GOULDS PUMPS. INC. 5B ECA RUM NEW YOi71C DI48 c~ t j: Effective October, 1988 PRINTED IN 0 1986 Goulds Pumps, Inc. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE U.SA. ga Q ` CERTIFIED SURVLY MAP 8,;2 Part of the Southeast 1/4 of the Southeast 1/4 of Section 24, Town 29 North, Range 17 West, Town of Hammond, County of St. Croix, State of Wisconsin, described in Volume 3 of Certified Survey Maps, Page . 81.2 as Certified Survey NO__Ir,-• ,UNPLATTED LANDS , N 89°14 2.8 W 348.92 BEARING REFERENCE TO THE 1.5 OF SEC.24 T29N,R17W y9° d,4,6' EAS i LINE OF THE SE 1/4 O ASSUMED BEARING N 00°11'45"W / SCALE I"= 100' EXISTING BUILDINGS 0 50 1 O DO :C Z N .0 0 7 o :C _ LEGEND rn vi_ O SET 3/41x30" ROUND IRON ROD p m = :-1 WEIGHING 1.502 LB/LF r :m .v LOT I U) 0 o 3.92 ACRES & o; D ,`o{{{/i11it1111~~~' 0 CA Dow 0. - ROVED ~t S43455 c r - - :pa ~~k ~ C AU G 15 197q y Z . C~O!X coot ,TY ~##$$Wo ~L~MPi ~<c~~$1w FA121$ KAN1040 199 \l -ANO 10MNCi C01MliltftF 0 O~ S 89c'-14,28" E 348.92 N OoOII 45"W 50.00 „ uN89°1428 W SE COR.,SEC.24 T2-9N,R17W CONC.NAILBTAB , APPROVAL OF THIS MINOR SUBDIVISION . • UNP_ ATTED• • LANDS........... DOES NOT MEAN APPROVAL FOR . • • • • • • • • . • • • • . • BUILDI i E EP--K SYSTEM; SURVEYOR'S CERTIFICATE: REFER TO H I, THOMAS G. KUESTER, Registered Land Surveyor, hereby certify that I have surveyed divided and mapped a part of the SE14 of the SE'.; of Section 24, T29N, R17W, Town of Hammond, County of St. Croix, State of Wisconsin, more particularly described as follow) ction 24; Commencing at the Southeast corner of said Se Thence N. 890 14' 28" W., 660.00 feet; Thence N. 000 11 45 W., 50.00 feet, to the point of beginnin Thence c o n t i n u e n 3 9 9 o 11 4~~ W., 49 0.00 feet; c N. 00 T hence N. 890 14' 28" W. , .348.92 feet; Thence CA* S. 000 11' 45" E., 490.00 feet; Thence S. 89 14' 28 E., 348.92 feet, to the point of beginning; Said parcel contains 3.92 acres, more or less. That I have made such survey, land division and plat by the directlyyaard. Cof That said plat is a correct representation of all exterior boundaries of the land surveyed and the Subdivision thereof made. That I have fully complied with the provisions of Chapter 236 of the Wisconsin Stath"es and the subdivision regulations of the Town of Hammond and the County of St. in surveying, dividing and mapping the same. DATED THIS,/DAY OF 1979 Thomas G. Kuester, Registered Land Surveyor Volume 3 Fa 1!,-, x;112 l . ST C- 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER / B U Y E R JOHN WOODCOCK ROUTE/BOX NUMBER 2086 HWY 12, Fire Number I CITY/STATE BALDWIN WI ?.1P 54002 PROPERTY LOCATION: 14, SE Section ,Z,. T_29 N, R 17--W, Town of HAMMOND St. Croix County, Subdivision eSw( W N-z Lot* number Improper use and main'tenance.oT your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a l.lcensed septic tank pumper. What you pUt into the system can affect the function of the septic tank as a treat- ment..atage,in the waste disposal system. St. Croix County residents may be eligible to receive a grant fur a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber,.restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic 'tank is less than 1/3 full of.sludge and scum. Certification form w"311 be sent approximately 30 days prior to three-year expiration. I/WE, the undersigned, have read the above requirements and .1gree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Depart- ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Off.kce within 30 days of the three year expiration date. SIGNED U AT r__ St. Croix County Zoning Office P.O. Box 98 Hammond, WI 54015 715-796-2239 or 715-4325-8363 Sign, date and return to above address. OOCUMENT.,NO. STATE BAR OF vk'zs. 'SIN FOR- 0 *OaL~ ~ESEAYCD *VA pXt%jj6jt+6 DATA a07154 LAND CONTRACT Indlridurl and Corporate (TO nt; USF.n FOR ALL TRANSACTIONS WHERE OVER,, $25,1100 IS FINANrED AND IN OTNP:R NON-CONSUMER.. TRANSACTIONS) ACT REGISTrRS OFFICE CO., WI& Contract, by and between KPenn_et.ia_.Lt_.-.Uy }aard...and... .,-,r it: i thIr!1p h .P.a.tri-cia..M....Nygaa -d.,... hushaad..and..w.i.fa-.and---each 85 N A.D. ,19_ ..in...their..awn...right.---.-•--•--•••------... („Vendor", c~ ~ whether one or more) and...... John WOodc ;k and Mary„ _ woodcock,...ht=t- t~ D 7.-.4!15....Yij.lne._.as...jo .lat.. QtJ.A11.kA....... f ("Purchaser", whether one or more). Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- formance of this contract by Purchaser, the following property, together with the rents, profits, fixtures and other appurtenant interests (all called the "Property' rn 1"'Y 5+e-~ AG in S-t_...Cr.Oi.X County, State of Wisconsin:ST, ftTT T= A parcel of land located in the Southeast 219 North Mr-13 .r,:rczt f~iyvS ~,iver Falls WiSCOUS A 54= Quarter of Southeast Quarter (SE 1/4 of SE 1/4 of Section Twenty Four (24), Township Twenty- nine (29) North, Range Seventeen (17) West, Tax Parcel No . described as follows: Commencing at a point 633 feet West of the Southeast corner of the Southeast Quarter of Section 24; thence West 375.92 feet; thence North 490 feet; thence East 375.92 feet; thence South 490 feet to the point of beginning. It is intended that the above description includes Certified Survey Map filed in St. Croix County Register of Deed's Office on August 16, 1979, in Volume 3 of Certified Survey Maps, page 842, as Document No. 359093. This is not rental property. This ..iS...no-t...-.•••..-- homestead property. (is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at their-..residence_•_,•._.. the sum of $..6-7.i 5.QQ_..Q0.................................. in the following manner: (a) $.--6.i.Q.QQ...Q.0 [Q -_rO . together with interest from date at the exec ution of t'us Contract: and (b) the `.)ulanr:u 4..' ..6..7.,._<J • hereof on the balance outstanding from time to time at the rate of..... 9.W per cent per annum until paid in full, as follows: Monthly payments of at least $500.00 due and payable on the 15th of each -lonth, commencing December 15, 1985. X98XKX?&KXXXOKNKIEIO iIXOK#MUKKNx iix~x9sxxxagxxKxailsxgxoxgxx8Kx~x334(3(sxxx i Provided, however, the entire outstanding balance shall be paid in full on or before the....... 15th day of (Io-vembe.V 19.93-.. ( the maturity date). Following any default in payment, interest shall accrue at the rate of ._12....% per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). x x x x p(,n-x AKK)"PfiA X"- A4 XX VOhAd X*Xdex 110"91 x"bd)( xut*ZdDX XMO"oc XaftIdoat X(XW C )C4(%(XK1kXwilixiX x x ~xc~c<>K~auaaeat xa~x~s~~x~k xaxaax1x~R~x.~'k'x xt>t~~'~r~NSC'Adxi3t~!'~!t'R°x~~t'~~t~c"4~'R~C~~txT~:E~~~tR`~~SfS~kei~ x~~x ~t5f'l~9Fx x x >atdoaxaftac~sat foxRlxxn~x4~ ~t9c ft►xditii~xDc9rls iN$~t'xR x§~C it'9Ni~R'iE~4~YC°x ~,x~ ikvx x x 'ASK 5("W R'* *A A 7C li R 7. (if ~1xblhkrkklke$ iq%R5c MYxf YXQ1Xtk` h 15fk k~~~c~~ ~P4ctx'RYx'USNx x x XWOKxt~§f 360xRg WAkxk49cxx Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any am~iunt n,ay be prepaid without premium or fee upon principal at any time R>fbCxxxxxx _XX-X-X-X•XJC~XXXX XX ;ri~c x>a o<.~ x~►c x~w x3x~a~x~ana'K4t ~xlxlilfi'x1~1 ~'"}l~" 1:1~ ~('kr+:'~itiR'k RfxYc~R'$raCx x ~ x ~ ~ ~5 ~ ~ x tx~ x~~~ ~ ~ x~ ~ x ~ x In the event of any prepayment, this contract shall not be treaf.ed as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: None Purchaser promises to pay when due all taxes and „~a i wsd on the n.nnR,.t# or upon Vsrndo4s interest it and to deliver to Vendor on demand receipts showing suet" laayment, ' ~ Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire ex- tended coverage perils and such other hazards as Vendor may require, without co-insurance, through insurers approved by Vendor, in the sum of ;_fu_11._.1nSUrable.__Vd1Ub%t Vendor shall not require coverage in an amount more than the balance owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shall contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, isurance proceeds shall be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be economically feasible. Purchaser covenants not to commit waste nor allow waste to be aonlmitted an the 1'1' Pp kyl 1 orr he 1441AA11w, in rood tenantable condition and repair to kee the Pro ert' free from Venn N ~1 1 t, and 6 and P P ~ !i A4F1©F 41 Eh@ ~18R t3~ ~®REF11•f., to comply with all laws, ordinances and regulations affecting the Propp}ty, Vendor agrees that in case the purchase price with Interest and othor moneys shall be fully paid anti all spnditions shall be fully performed at the times and in the manner above specified, Vendor will on demanel; aucpiy arid deliver to the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and enc9j;gbr4'rlFe's, except any liens or encumbrances created by the act or default of Purchaser, and except: None Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interest which continues for a period of .311.... days following the specified due date or (b) in the event of a default in performance of any other obligation of Purchaser which continues for a period of -.30... days following written notice thereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding balance under this contract shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser hereby waives and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in addition to those provided by law or in equity: (i) Vendor may, at his option, terminate this Contract and Purchaser's rights, title and interest in the Property and recover the Property back through strict foreclosure with any equity of redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from the date of default at the rate in effect on such date and other amounts due hereunder (in which event all amounts previously paid by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract and as rental for the Property if purchaser fails to redeem) ; or (ii) Vendor may sue for specific performance of this Contract to compel immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this Contractas a cloud on title in a quiet-title action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action under (1), (ii) or (iv) above.Notwithstanding any oral or written statements or actions of Vendor, an election of any of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses including reasonable attorneys fees of Vendor incurred to enforcenny remedy hereunder (whether abated or not) to t; e extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as in- curred, and shall be included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property during the pendency of such action, and such rents, issues, and profits when so collected shall be held and applied as the court shall direct. Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any of Purcha-er's rights under this Contract or by option, lone-term leame c; in nn}- other wary) without the prior written consent of Vendor unless either the outstanding -d-'r ',hi:. Colt act is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest under this Contract coley as security for an indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediatelydue and payable in full, at Vendor's option without notice. Vendor shall make all payments when due under an%' mortgage outstanding against the Property on the date of this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made on this Contract. Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives, successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable consideration joins herein to release homestead rights In the subject Property and agrees to join in the execution of the deed to be made in fulfillment hereof.) Dated this 14th November 85 day of 19._ L l/ ........(SEAL) ~i. .............(SEAL) J.ohn.. Woad.cci.ck • ....K. _~n-- e~rrn.eth..D~5...~..Nygaard.................. 1 - `.......(SEAL) r..acr.f4J..(.~L ...........(SEAL) Mary woodcock Patricia M. Nygaard AUTHENTICATION ACKNOWLEDGMENT Signature(s) Ke-nn.e.tt I~.r...NYgaacd-,---------- STATE OF WISCONSIN ,S Patricia M. Nygaard, John Woodcock sa. M~ y wt"-csdcUCk .......................---...-----..County. auk' atedIthi t.hdy f.._.UQVa ember..., 19-..8.5 Personally came before me this ................day of , 19........ the above named .Rober:.t...G.-...W4...t,Q.c TITLE.: '11, Dilll It STATE TZAR OF WISCONSIN